Individual
NA HYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 SPRING ST STE 100, WEST ROXBURY, MA 02132-4335
(857) 353-5103
Mailing address
22 STRAWBERRY AVE, LEWISTON, ME 04240-5961
(207) 782-0670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN10000164
MA
122300000X
Dentist
DEN4889
ME
Other
Enumeration date
07/08/2021
Last updated
06/23/2024
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